Comparative Effectiveness Trial of Transoral Head and Neck Surgery Followed by Adjuvant Radio(Chemo)Therapy Versus Primary Radiochemotherapy for Oropharyngeal Cancer
NCT03691441 · Status: UNKNOWN · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 280
Last updated 2023-05-17
Summary
Comparative Effectiveness Trial of Transoral Head and Neck Surgery followed by adjuvant Radio(chemo)therapy versus primary Radiochemotherapy for Oropharyngeal Cancer
Conditions
- Oropharyngeal Cancer
Interventions
- PROCEDURE
-
Resection
Definitive surgery should generally be performed within 2 weeks, but not more than 4 weeks after randomization. The appropriately indicated neck dissection(s) may be performed either prior to, during the same session, or within 2 weeks after the resection of the primary tumor, but not later than 4 weeks following randomization. The primary tumor is to be resected with clear margins (R0) and en bloc in all cases. Frozen section assessment must be routinely and readily available.
- RADIATION
-
Radiotherapy
6-7 weeks standard risk-adapted adjuvant radiotherapy 56-66 Gy, start within 6 weeks post-surgery Arm B: 6-7 weeks standard radiotherapy (IMRT-technique), start within 4 weeks after randomization, 70-72 Gy, SIB possible
- DRUG
-
The investigational medicinal product (IMP) are the chemotherapeutical drugs Cisplatin, Mitomycin C and 5-FU. According to local routine, chemotherapy protocols as listed in study protocol should be used.
- PROCEDURE
-
Salvage neck dissection
+/- Salvage neck dissection 12±2 weeks after treatment
Sponsors & Collaborators
-
Charite University, Berlin, Germany
collaborator OTHER -
University Medical Center Gießen and Marburg GmbH
collaborator UNKNOWN -
University Hospital Ulm
collaborator OTHER -
Universitätsklinikum Hamburg-Eppendorf
lead OTHER
Principal Investigators
-
Chia-Jung Busch, PD Dr. · Universitätsklinikum Hamburg-Eppendorf
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-01-05
- Primary Completion
- 2024-05-05
- Completion
- 2024-05-05
Countries
- Germany
Study Locations
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